1. Name and Address of Reporting Person * |
Â
Belldegrun Arie |
|
2. Date of Event Requiring Statement (Month/Day/Year) 09/24/2009 |
3. Issuer Name and Ticker or Trading Symbol Nile Therapeutics, Inc. [NLTX]
|
C/O NILE THERAPEUTICS, INC., 4 WEST 4TH AVENUE, SUITE 400 |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
__X__ Director |
_____ 10% Owner |
_____ Officer (give title below) |
_____ Other (specify below) |
|
|
5. If Amendment, Date Original Filed(Month/Day/Year) 09/28/2009 |
SAN MATEO, CA 94402 |
6. Individual or Joint/Group Filing(Check Applicable Line)
_X_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
|
|
Table I - Non-Derivative Securities Beneficially Owned |
|
1.Title of Security (Instr. 4) |
2. Amount of Securities Beneficially Owned (Instr. 4) |
3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) |
4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock
|
76,935
|
I
|
Leumi Overseas Trust Corp. Ltd. as TTEE of the BTL Trust
(1)
|
Common Stock
|
64,800
|
I
|
Belldegrun Family Trust
(2)
|
Common Stock
|
243,200
|
I
|
Arie S. Belldegrun, M.D. Inc. Profit Sharing Plan
(3)
|
Common Stock
|
292,000
|
I
|
Leumi Overseas Trust Corp. Ltd. as TTEE of the Tampere Trust
(4)
|
Common Stock
|
34,485
|
I
|
Bellco Capital, LLC
(5)
|
|
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security |
5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Warrant (Right to Buy)
|
09/11/2007 |
09/11/2012 |
Common Stock
|
4,210
|
$
2.71
|
I
|
Leumi Overseas Trust Corp. Ltd. as TTEE of the BTL Trust
(1)
|
Warrant (Right to Buy)
|
07/07/2009 |
07/07/2014 |
Common Stock
|
16,200
|
$
1.25
|
I
|
Belldegrun Family Trust
(2)
|
Warrant (Right to Buy)
|
07/07/2009 |
07/07/2014 |
Common Stock
|
16,200
|
$
1.71
|
I
|
Belldegrun Family Trust
(2)
|
Warrant (Right to Buy)
|
07/07/2009 |
07/07/2014 |
Common Stock
|
32,400
|
$
2.28
|
I
|
Belldegrun Family Trust
(2)
|
Warrant (Right to Buy)
|
07/07/2009 |
07/07/2014 |
Common Stock
|
60,800
|
$
1.25
|
I
|
Arie S. Belldegrun, M.D. Inc. Profit Sharing Plan
(3)
|
Warrant (Right to Buy)
|
07/07/2009 |
07/07/2014 |
Common Stock
|
60,800
|
$
1.71
|
I
|
Arie S. Belldegrun, M.D. Inc. Profit Sharing Plan
(3)
|
Warrant (Right to Buy)
|
07/07/2009 |
07/07/2014 |
Common Stock
|
121,600
|
$
2.28
|
I
|
Arie S. Belldegrun, M.D. Inc. Profit Sharing Plan
(3)
|
Warrant (Right to Buy)
|
07/07/2009 |
07/07/2014 |
Common Stock
|
73,000
|
$
1.25
|
I
|
Leumi Overseas Trust Corp. Ltd. as TTEE of the Tampere Trust
(4)
|
Warrant (Right to Buy)
|
07/07/2009 |
07/07/2014 |
Common Stock
|
73,000
|
$
1.71
|
I
|
Leumi Overseas Trust Corp. Ltd. as TTEE of the Tampere Trust
(4)
|
Warrant (Right to Buy)
|
07/07/2009 |
07/07/2014 |
Common Stock
|
146,000
|
$
2.28
|
I
|
Leumi Overseas Trust Corp. Ltd. as TTEE of the Tampere Trust
(4)
|
* |
If the form is filed by more than one reporting person, see Instruction 5(b)(v). |
** |
Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) |
Although the Reporting Person is not a trustee of the BTL Trust, the Reporting Person is a beneficiary of the BTL Trust, and as such may be deemed to be the beneficial owner of the shares and the warrants owned by the BTL Trust. The Reporting Person disclaims beneficial ownership of the shares and warrants except to the extent of his pecuniary interest therein. |
(2) |
The Reporting Person is the Trustee of the family trust that owns the shares and the warrants. The Reporting Person disclaims beneficial ownership of these shares and warrants except to the extent of his pecuniary interest therein. |
(3) |
The Reporting Person is the Trustee of the profit sharing plan that owns the shares and the warrants. |
(4) |
Although the Reporting Person is not a trustee of the Tampere Trust, the Reporting Person is a beneficiary of the Tampere Trust, and as such may be deemed to be the beneficial owner of the shares and the warrants owned by the Tampere Trust. The Reporting Person disclaims beneficial ownership of the shares and warrants except to the extent of his pecuniary interest therein. |
(5) |
The Reporting Person is the co-owner of the limited liability company that owns the shares. |